Individual ProviderDaniel CancillaStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address9500 Euclid Ave # Na-23, Cleveland, OH 44195-0001(216) 444-2200PECOS EnrollmentBased on the most recent information from CMS, provider Daniel Cancilla is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 11:13 AM.Profile DetailsProvider ID1023759255Provider TypeIndividualFull NameCancilla, DanielGenderMaleSole ProprietorYesEnumeration Date4/3/2022Last Updated4/3/2022Contact InformationPractice LocationPractice Address9500 Euclid Ave # Na-23, Cleveland, OH 44195-0001Phone(216) 444-2200FaxUnlisted FaxMailing LocationMailing Address9500 Euclid Ave # Na-23, Cleveland, OH 44195-0001PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer